Gayana Wanniarachchi, | |
215 E 1st St Ste 111, Dixon, IL 61021-3198 | |
(815) 345-5677 | |
Not Available |
Full Name | Gayana Wanniarachchi |
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Gender | Female |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 215 E 1st St Ste 111, Dixon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003540220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 135.001170 (Illinois) | Primary |
Provider Name | Ksb Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Provider Name | Katherine Shaw Bethea Hospital |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
Mailing Address | Practice Location Address |
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Gayana Wanniarachchi, 215 E 1st St Ste 111, Dixon, IL 61021-3198 Ph: () - | Gayana Wanniarachchi, 215 E 1st St Ste 111, Dixon, IL 61021-3198 Ph: (815) 345-5677 |
Kyle Swanson, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Suite 310, Dixon, IL 61021 Phone: 515-210-9777 Fax: 815-285-5699 | |
Dr. David A Yeager, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Ste 306, Dixon, IL 61021 Phone: 815-285-5801 Fax: 815-285-5691 | |
Cara Lee Fontana, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St Ste 111, Dixon, IL 61021 Phone: 815-285-5801 | |
Brandon R. Gumbiner, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 310, Dixon, IL 61021 Phone: 815-285-5801 Fax: 815-285-5699 | |
Dr. Michael J Wessels, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St, Ste 306, Dixon, IL 61021 Phone: 815-285-5801 Fax: 815-285-5699 | |
Steven Yeschek, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Dixon, IL 61021 Phone: 815-285-5698 |